Provider Demographics
NPI:1730839465
Name:DEVOE, KELLEY RENEE
Entity type:Individual
Prefix:
First Name:KELLEY
Middle Name:RENEE
Last Name:DEVOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38240 DAUGHTERY RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-1367
Mailing Address - Country:US
Mailing Address - Phone:813-788-3582
Mailing Address - Fax:813-780-6707
Practice Address - Street 1:38240 DAUGHTERY RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1367
Practice Address - Country:US
Practice Address - Phone:813-788-3582
Practice Address - Fax:813-780-6707
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO8632207Q00000X
FLOS21043207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine